Protect Medicare Advantage patients and providers by requiring plans to honor approved care and barring retroactive coverage reversals, payment clawbacks, and downcoding except for good cause or fraud.

Robert F. Onder, Jr. · Missouri · Republican

policy impact 0.70 specificity 0.88 extraction confidence 78%

Commitment kind: outcome. Promised action: Advance the Protecting Approved Care Act.. Promised outcome: Medicare Advantage plans would have to honor approved care and would be barred from reversing coverage, clawing back payment, or downcoding claims after the fact.. Deadline: unknown; not assumed expired. Official House press release during Robert F. Onder, Jr.'s term as U.S. Representative for Missouri's 3rd District, announcing bipartisan federal legislation on Medicare Advantage prior authorization protections.

Contest this claim

Occurrences

This legislation ensures that when a Medicare Advantage plan approves care, that approval holds. It bars plans from reversing coverage, clawing back payment, or downcoding claims after the fact, giving patients and their doctors the certainty they need to move forward with treatment.

Onder introduced the Protecting Approved Care Act, which would require Medicare Advantage plans to honor approved care and prevent after-the-fact reversals, clawbacks, or downcoding.

Congressmen Onder and Landsman Introduce Bipartisan Legislation to Protect Patients | Representative Bob Onder
primary · press_release · model gpt-5.5

Evidence

verified · Source version 61471 · locator 895

WASHINGTON, D.C. – Today, Congressman Bob Onder (R-MO) and Congressman Greg Landsman (D-OH) introduced the bipartisan Protecting Approved Care Act.

Fetched verbatim passage. AI summary (separate from source): Onder announced introduction of bipartisan legislation directly matching the commitment, but introduction alone does not enact the Medicare Advantage protections.

unresolved same_term A for effort

Congressmen Onder and Landsman Introduce Bipartisan Legislation to Protect Patients | Representative Bob Onder
primary · model gpt-5.5 · confidence 86%

Contest this evidence item

verified · Source version 61474 · locator 2045

Latest action (Sep 15, 2026) Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce

Fetched verbatim passage. AI summary (separate from source): The bill corresponding to the promise was introduced and referred to committees, with no recorded enactment or final passage shown as of the refresh.

unresolved same_term A for effort

HR 10394 — To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization and claims denial under Medicare Advantage plans. — CivicGate
secondary · model gpt-5.5 · confidence 78%

Contest this evidence item

Assessments

Public state: pending As of 2026-09-20 · verified · . Original AI recommendation (not independently established): unresolved. unknown A for effort

Onder materially advanced the promised policy by introducing the bipartisan Protecting Approved Care Act during his House term. However, the verified evidence only shows introduction and referral to committees as of September 15, 2026; it does not show enactment or implementation of the Medicare Advantage protections. Because this was an outcome promise and no deadline has expired, introduction alone is effort, not delivery.

provider codex_cli · model gpt-5.5 · confidence 88%